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2019 Peer to Peer Exchange:
Using Data and Quality Improvement
to Advance Health Equity
April 16-17 2019
Edgewater Hotel | Madison, WI
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Welcome and Overview
• Introductions
• Housekeeping
• Meeting materials
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Virtual Participant Introductions
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State Team Introductions
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BREAKMeeting resumes at 10:30AM
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Q&A
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Team Discussion Time
• Discuss the best practices you gleaned from other states within your state teams
• How can you bring this information back to your state to improve current practices?
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Q&A
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Utilizing Quality Improvement
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• Split into 7 groups with ~ equal numbers
• Assign tasks:
– 2 reporters (1 on PDSA tracker, 1 on run chart)
– 1 timer (must have a timing device)
– 1 materials (Grab 1 stack of racing tracks, 3 test cars and 1 measuring device)
– 2+ assembly
– Everyone = innovators
AIM: By April 16, 2019, a race car will travel at least 10 feet at
speeds fast enough that it wins the timed trial at the end of the
activity.
Activity Instructions
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• How many tests did it take you to reach the distance requirement of 10 feet? How many tests to increase your speed?
• What were the key lessons?
• How did your team function? What contributed to those results?
• Is this how QI works in your projects? Why or why not?
Application & Discussion
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Exploring Quality Improvement
Methodologies to Monitor Progress
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• Ballroom B breakouts:○ Development and implementation of the Early Intensive Developmental and
Behavioral Intervention (EIDBI) benefit for children and youth under 21 years of age who are on Medical Assistance (MA), Minnesota’s Medicaid benefit (Nicole Berning)
○ MCHAT-R Provider training and practice integration (Brittany Powers/Brian Freedman)○ Board Certified Behavior Analyst (BCBA) Training and Supervision Program (Michael
Morrier)○ Relationship and trust building to increase ASD service delivery and impact in the core
cities and on the Narragansett Reservation (Bridget Landry)○ Ohio’s Inter-agency Work Group on Autism developed “Pursuing Quality Lives”
through a collective impact approach to systems change, including common agenda and common metrics (OH facilitator)
○ Waisman Center Autism Clinic rapid diagnostic test (Lindsay McCary—virtual)
• Ballroom C breakouts: ○ Using the States of Solutions framework to engage communities in local action (Rose
Cutting)○ Open Doors for Multicultural Families (ODMF) service provision (Stacy Sage/Jean-
Marie Dymond)○ Include screening, assessment, and intervention within Babies Can’t Wait (BCW),
Georgia’s Part C program (Synita Griswell/Lisa Pennington)○ Reaching diverse populations through language interpretation/translation (Kathy
Gray/Elizabeth Collins)
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BREAKMeeting resumes at 3:00PM
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Applying Quality Improvement Methodologies/ State Team Action Planning
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Accelerate Learning & Improvement
AIM: What are we trying to accomplish?
MEASURES: How will we know if it is an
improvement?
CHANGES: What changes can we make?
Do
StudyAct
PlanDo
StudyAct
Plan Do
StudyAct
Plan
Implement a part of a
process and testModify the process and test Include additional
parts of the process
and test
Source: Model for Improvement
from The Improvement Guide, API
CYCLES: How can test if we are on the right
track before moving full speed ahead?
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• The test was planned, including a Plan for collecting data
• The plan was carried out (Do) and data were collected
• Time was set aside to analyze the data and Study the results
• Action was based on what was learned
To Be Considered a Real Test…
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• Test of change should answer a specific question
• Test of change requires a theory and a prediction
• Test on a small scale (remember drop 2!) and collect data over time
• Build knowledge sequentially with multiple PDSA cycles for each change idea
• Include a wide range of conditions in the sequence of tests
• Conduct a test, not a task
Key Tips…
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Learn from why the test was unsuccessful
• Test of change was not done (feasible test?)
• Test of change was not done correctly (need more guidance or resources?)
• Test of change was done correctly, but it just wasn’t effective (not a true driver?)(True driver of one variable but unexpected impact on other drivers?)
Unsuccessful test?
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Drivers of Focus Area
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AIM Statement
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NETWORKING BREAKFAST
Sit with somebody you haven’t had
the chance to network with
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Jennifer S. Pineo
Project Coordinator
New Hampshire Family Voices
Molly CooneyEmployment and Diversity Outreach Specialist, WI Board for People with Developmental Disabilities
Yeimy Bakemon-Morel
Community Engagement
Specialist,
The Autism Project
Mary Guerin
Parent Peer
Specialist,
Wisconsin
Family TiesPanel on Engaging People Most Impacted by Inequity
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Table 1 (Ballroom C): Delaware—Brittany Powers;
populations: medically underserved, Spanish-speaking
families
Table 2 (Ballroom C): Ohio; populations: people with
disabilities and their families
Table 3 (Ballroom B): Minnesota—Elise Holmes;
populations: Somali, South Asian (Hmong), American Indian,
neurodiverse
Table 4 (Ballroom B): Washington—Kate Orville & Jean-
Marie Dymond; populations: autistic adults, American
Indian, immigrants, refugees
Table 5 (Ballroom B): Wisconsin—Ellie Hartman & Beth
Moss; reducing poverty, behavioral health, SSI recipients
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BREAKMeeting resumes at 10:45AM
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Applying Engagement/ State Team
Action Planning
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As a state team, develop an action plan to apply what you have learned during the meeting for implementation and sustainability back home. Use the questions below to frame your discussions and identifying action steps.
1. What were your top successes and biggest challenges related to a) Utilizing data to discover and prioritize ASD/DD disparities, b) Implementing quality improvement to improve a current equity initiative or activity, or c) Including individuals impacted by inequities in creating innovative solutions to inequities?
2. What are the upcoming opportunities to build on your successes or address your challenges?
3. What strategies or resources have you learned from other states that you may want to apply back home? What connections do you need/want to make?
4. How would you integrate those strategies/resources into the permanent work of your organization/program? What support, buy-in or additional help would you need?
5. What will your organization do in the next 6 months to move forward in developing and implementing action steps?
6. What support would you need from your state/regional/national/membership organizations and partners?
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Meeting Wrap-Up
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